Congressional Intent. Alternative Payments. A Plague of Addiction.

In the early 2017 tumult over the fate of the Affordable Care Act and the future of healthcare in America in general, two signal but little-known achievements have emerged that present powerful near-term possibilities for improving healthcare and pain management in particular.

In Oregon, the PacificSource health plan agreed to reimburse a patient under the non-discrimination provisions of the Affordable Care Act: the first time in the existence of the law this has happened. [click to continue…]


“In Washington, DC, during a 1979 congressional briefing, the internationally honored futurist, Clement Bezold, PhD — who 20 years later would become a player in the integrative care movement — had his finger on the pulse. He told the assembled elected officials and their staff that there was a trend taking shape. He called it ‘alternative medicine.’

“Alternative, holistic, complementary, CAM, functional, blended, restorative, root cause, integrative. Something was afoot.”

Something is still very much afoot. [click to continue…]


(Originally published in March, 2014)

MissionTHrive02-smI was trying to cleverly stretch the image of moving care interventions “upstream” all the way to the “headwaters of health.” Then this came across the Web:

Obesity between the ages of 5 and 14 years was more likely to have occurred at younger ages, primarily among children who had entered kindergarten overweight.[1]

So much for healthy headwaters. But then, maybe the actual stream of interventions isn’t where anyone wants to be in the first place. [click to continue…]


Marketplace parity for integrative disciplines?

May 27, 2014

The use of complementary and alternative medicine (CAM) treatments to address illness conditions and to reinforce good health has become so prevalent in the US that the Affordable Care Act includes provisions that direct insurers to cover the work of licensed CAM providers. For many of the nearly 400,000 professionals around the country, the possibility […]

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To touch or not to touch: The Biofield

March 5, 2014

Among the perplexities of “alternative therapies” there is perhaps none so perplexing as the assertion that some healers can address ill health by holding their palms over, but not touch, their clients. Reiki, healing touch, and other practices confound almost everyone, except for the practitioners themselves, their clients and many nurses who have witnessed the […]

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Integrative mobile health (imHealth ?) very TBD

December 11, 2013

@mHealthSummit Day 3 in Washington From the Department of Bold Assertions: Margaret Hamburg of @us_fda: Widespread use of #mhealth will improve health care and health care delivery. #mhealth13 — (@iHealthBeat) December 11, 2013 The skeptic’s immediate response is: How so? We will find out by watching, and participating in, the great traditional strategy of […]

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Behavior change: Holy Grail for mobile health

December 10, 2013

Since I didn’t make it across town to National Harbor for the mHealth Summit — @mHealthSummit — I did track a few tweets coming out of the event. Here is a summary, with comments. "if we can't change people's behaviors with these new tech, then we're wasting our time." – @chriswasden #mHealth13 #HITventure — mHealth […]

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Meditation apps for cognitive health?

December 9, 2013

@mhealthsummit Day One in Washington Apparently the mobile wing of the health care tech industry feels impervious to the wrenching politics going on elsewhere in the Capital over the very-less-than mobile and sputtering web site. Instead, attendees and Twitter observers of the 5th annual Mobile Health Summit have been churning out an incessant flow […]

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Hospital as Center of Well Being, Redux

July 25, 2013

A couple of years ago I used a short video of Gerard Van Grisven during his tenure as CEO of the Henry Ford Hospital in West Bloomfield, MI (one of our iPOINTS), describing the astonishing array of health-creating, wellness-centric services that have been appended to that very formidable hospital. But that video has been seen […]

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Ornish cardio rehab program in Medicare coverage

February 11, 2013

CNN reports on the impact of Medicare’s new intensive cardiac rehab program that was created by preventive and integrative medicine physician Dean Ornish, MD. This piece, about a senior couple with family histories of catastrophic heart disease, illustrates the combination of personal life factors and

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